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远程护理对老年脑卒中患者照顾者生活质量的影响。

Effect of Telenursing on the Quality of Life of Caregivers of Older Patients with Stroke.

机构信息

Social Determinants of Health Research Center, Research Institute for Prevention of Non-Communicable Diseases, Qazvin University of Medical Sciences, Qazvin, Iran.

Department of Nursing, School of Nursing and Midwifery, Qazvin University of Medical Sciences, Qazvin, Iran.

出版信息

Rev Recent Clin Trials. 2023;18(4):275-281. doi: 10.2174/1574887118666230522163725.

DOI:10.2174/1574887118666230522163725
PMID:37221695
Abstract

BACKGROUND

Family caregivers of stroke patients suffer from a high caregiving burden that affects their quality of life. Telenursing can provide caregivers and patients with services at the lowest cost and full access. Therefore, the aim of this study was to investigate the impact of telenursing on the quality of life of caregivers of older stroke patients.

METHODS

A total of 79 family caregivers of older stroke patients participated in this randomized clinical trial. The samples were selected from caregivers of older stroke patients admitted to a teaching hospital in Qazvin, Iran. They were randomly divided into two groups. The intervention group participated in an educational intervention for 12 weeks through telephone follow-up and social media. The Barthel Scale and the 36-item Short Form Survey (SF-36) were used for data collection. The chi-square and independent and paired t-tests were used to analyze the data.

RESULTS

The mean age of 79 caregivers participating in the study was 46.16 ± 11.32 years. No significant differences were found between the two groups at baseline. However, the independent ttest showed significant differences in the psychological subscale (p <0.001) between the intervention and control groups after the intervention. In addition, the results of the paired t-test showed significant improvements in the intervention group in physical (p <0.001) and psychological (p <0.001) subscales.

CONCLUSION

The results of the current study support the effectiveness of telenursing in improving the quality of life of caregivers of older stroke patients.

摘要

背景

脑卒中患者的家庭照顾者承受着较高的照护负担,这影响了他们的生活质量。远程护理可以以最低的成本为照顾者和患者提供全方位的服务。因此,本研究旨在探讨远程护理对老年脑卒中患者照顾者生活质量的影响。

方法

共有 79 名老年脑卒中患者的家庭照顾者参与了这项随机临床试验。这些样本是从伊朗卡兹温一所教学医院的老年脑卒中患者的照顾者中选取的。他们被随机分为两组。干预组通过电话随访和社交媒体接受为期 12 周的教育干预。采用巴氏量表和 36 项简明健康状况调查问卷(SF-36)进行数据收集。采用卡方检验和独立样本 t 检验对数据进行分析。

结果

参与研究的 79 名照顾者的平均年龄为 46.16 ± 11.32 岁。两组在基线时无显著差异。然而,独立样本 t 检验显示,干预后干预组在心理维度上有显著差异(p <0.001)。此外,配对 t 检验的结果显示,干预组在生理(p <0.001)和心理(p <0.001)维度上均有显著改善。

结论

本研究结果支持远程护理在改善老年脑卒中患者照顾者生活质量方面的有效性。

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